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NPI Code Detail

MEDICARE: KAITLIN R CONWAY

MEDICARE: KAITLIN R CONWAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001310328VA
2367500000XCertified Registered Nurse Anesthetist0024193715VA

General Provider Information

NPI Number : 1881466019
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN R CONWAY
Provider Business Mailing Address
First Line : 1881 UNIVERSITY DR RM 206
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8083
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1881 UNIVERSITY DR RM 206
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8083
Country : US
Telephone Number : 757-368-4171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 01/05/2026

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Directions to “ KAITLIN R CONWAY ” Practice Location

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